Patient care guidelines: a telephone survey of intensive care practices in New South Wales.

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dc.contributor.author Knowles, S
dc.contributor.author Rolls, K
dc.contributor.author Elliott, D
dc.contributor.author Hardy, J
dc.contributor.author Middleton, S
dc.date.accessioned 2012-02-02T11:01:19Z
dc.date.issued 2010-02
dc.identifier.citation Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2010, 23 (1), pp. 21 - 29
dc.identifier.issn 1036-7314
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/15633
dc.description.abstract BACKGROUND: There are a number of practice areas highlighted in the literature as important for the care of critically ill patients. However, the current implementation of evidence into clinical practice for these areas is largely unknown. The development of clinical practice guidelines can translate the current evidence into useful tools to guide clinicians in providing evidence based care. AIM: To identify existence of current guidelines and informal routine procedures and clinicians' views of same within New South Wales (NSW) Intensive Care Units (ICUs) and High Dependency Units (HDUs) for 11 practice areas, namely, bowel management, endotracheal tube (ETT) stabilisation, tracheostomy tube stabilisation, feeding, analgesia, sedation, thromboembolic prevention, head of bed elevation, ulcer prophylaxis and glucose control. METHOD: A telephone survey conducted with a representative from NSW ICUs and HDUs. RESULTS: There was variation in the number of guidelines and informal routine procedures reported for the 11 practice areas within the study units. Larger ICUs (Joint Faculty of Intensive Care Medicine Level II and Level III) and those who employed an onsite CNC were significantly more likely to have formal guidelines in place. Overall, there were very few audits reportedly conducted for the 11 practice areas. Bowel management was the area of practice most respondents reported as a neglected area of critical care nursing practice and the one they were least satisfied with. CONCLUSION: This survey provides a baseline of current practice and guideline use within NSW ICUs and HDUs. It also highlights areas for consideration to further develop clinical practice guidelines that could benefit critically ill patients.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1016/j.aucc.2009.10.001
dc.title Patient care guidelines: a telephone survey of intensive care practices in New South Wales.
dc.type Journal Article
dc.parent Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
dc.journal.volume 1
dc.journal.volume 23
dc.journal.number 1 en_US
dc.publocation Melbourne, Australia en_US
dc.identifier.startpage 21 en_US
dc.identifier.endpage 29 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 998241
dc.personcode 103912
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Humans
dc.description.keywords Critical Illness
dc.description.keywords Clinical Protocols
dc.description.keywords Questionnaires
dc.description.keywords Chi-Square Distribution
dc.description.keywords Statistics, Nonparametric
dc.description.keywords Intensive Care
dc.description.keywords Nursing Care
dc.description.keywords Attitude of Health Personnel
dc.description.keywords Nursing Evaluation Research
dc.description.keywords Hospital Bed Capacity
dc.description.keywords Hospitals, Public
dc.description.keywords Nursing Staff, Hospital
dc.description.keywords Practice Guidelines as Topic
dc.description.keywords New South Wales
dc.description.keywords Nurse Clinicians
dc.description.keywords Evidence-Based Practice
dc.description.keywords Physician's Practice Patterns
dc.description.keywords Guideline Adherence
dc.description.keywords Nursing Audit
dc.description.keywords Female
dc.description.keywords Diffusion of Innovation
dc.description.keywords Male
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
pubs.organisational-group /University of Technology Sydney/Students
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)
utslib.collection.history Uncategorised (ID: 363)


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